<table width="549" height="353" border="0" align="center">	
	<tr>
		<td colspan="2" align="left" valign="bottom"><h2 align="center" style="font-family:Arial, Helvetica, sans-serif"><b style="font-size:36px; font-family: 'Times New Roman', Times, serif;">Góp ý</b></h2></td>
  </tr>	
<tr>
		<td width="634">
			<table width="500" align="center">
				<form action="" method="post">
					<tr>
						<td width="76" align="left"><a>Họ Tên :</a>
						</td>
					  <td width="412">
						<input type="text" name="TenKhachGopY" maxlength="70" size="30" />
						(*) </td>
					</tr>
					<tr>
						<td width="76" align="left">Email  :</td>
						<td width="412">
						<input type="text" name="Email" maxlength="100" size="30"/>
						(*) </td>
					</tr>
					<tr>
						<td width="76" align="left"><a>Chủ đề :</a>
						</td>
						<td width="412">
						<input type="text" name="ChuDe" maxlength="70" size="30" /> (*)
						</td>
					</tr>
					<tr>
						<td width="76" align="left" valign="top"><a>Nội dung :</a></td>
						<td width="412">
						<textarea name="NoiDung" cols="40" rows="6">
						</textarea>
						</td>
					</tr>
					<tr>
						<td height="55"></td>
						<td  align="left">
						<input type="submit" value="Gửi " size="10" name="GuiGopY" /> </a>
						<input type="submit" value="Hủy" size="20" name="Huy" /> 
						</td>			
					</tr>	
				</form>
			</table>
		</td>
	</tr>
</table>
